HomeMy WebLinkAboutF2019-0137 - Permitsw1 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIBIIIIIIIIIIIIIIIIIII
FIRE Permit: F2019-0137
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c� 100 Civic Center Drive Newport
Beach, CA 92660
F 2 0 1 9 0 1 3 7
Project No: 0569-2019
Permit Counter Phone (949)644-3268
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Inspection Requests Phone (949)644-3255
Job Address: 259 OCEAN VIEW AVE NB
Description: SFR FIRE SPRINKLERS (68 HEADS) X2018-2791
Inspector Area 2
Legal Description:
N TR 1133 LOT 30 -
Owner CROSSLEY ROBERT
Contractor:
PRECISION FIRE SYSTEMS
Architect:
Address: 259 OCEAN VIEW AVE -
Address:
27068 LA PAZ RD #212
Address:
v
NEWPORT BEACH, CA 92663
ALSO VIEJOCA 92656
Phone: 949-566-4084
Phone:.
949-337-3317
Phone:
State Lic
Applicant. MCSTAY MIKE
Con State Lie:
906248 -
Engineer.
Address '27068 LA PAZ RD#212
-Lie Expire:
°11/3012019
Address:
••�°°
ALSO VIEGO CA 92656
Bus Lie:
BT30052676
Phone: :949.337-3317
Lie Exp Date:
09/30/2019
Phone:
State Lic
Code Edit: 2016
Worker's Compensation Insurance
Designer.
MCSTAY MIKE
Type of Construction: V -B -SPR
Carries
EXEMPT NO EMPLOYEES
Address:
27068 LA PAZ RD #212
a "' `
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d
Occupancy Group: R311.1
Policy No:
ALSO VIEJO CA 92666
oeo s
Added /New sq.ft. Bldg: 0
Expire:
Phone::
949-337-3317
'
mO
Added /New sq. ft. Garage: - 0
eeeo
No of Stories: 3
Issued Date: 03/1412019 Special Conditions
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......
No of Units : 0
Setback- Front:
-
° e6
C
Flood Zone:
Rear.
° o°
o ..
Bldg Sprinklers: Y
Left:
°6°0
Right:....
FEES
Construction Valuation:. $8,500.00.
Building PC Fee:
$202.00
Fire Residential Alarm PC Fee:. $0.00
Records Management:
$8.00
- Building Overtime PC Fee
$0.00
Planning Counter Review: `. $0.00
Building Extention Fee :..
$0.00
Planning Zoning PC Fee : $0.00
-
Building Investigation Fee:
.$0.00 -
$0.00
Fire Plan Check Fee:
$0.00
Public Works PC Fee : ...$0.00
$0.00
Fire Permit Fee :
' $0.00
Public Works Traffic Plan Check Fee; ' $0.00
-
Building Permit Fee:
$240.00 -
TOTAL FEE :
$450.00
Plan Check Fee : $0.00
Fee Due at Permit Issuance :
$450.00
PROCESSED BY:
OTHER DEPARTMENT:
i
-
ZONING APPROVAL:
PLAN CHECKED BY::
FIRE APPROVAL:
_ _..
APPROVAL TO ISSUE:
PERMIT EXPIRES. 180 DAYS AFTER ISSUANCE OR LAST VALID. INSPECTION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
;iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
Iy to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal
a structure thdtq fia�e built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy ol the applicable law, Section 7044 of the Business and
fessions Coder is -available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
rw"d of Property Qwner or Authorized Agent Date
LENSED C(INTIJpCTOR'S DECLARATION
'.rgbl yffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the BtrM ass a sio , and my license is in full force
lass .:...: License No Date Contractor Sic
!RS' COMPENSATION DECLARATION
....
FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECTA! EjAYER TO CRIMINAL PENALTIES AND CIVIL FINES UP
UMPENSATId11 DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNE`Y'S FEES
gffirm under penalty of perjury one of the following declarations
IN ADDITION TO
I have and A mairitain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
r5ce of the work'for which this permit is issued. Policy No.
ave and wilt maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa'
trance carrier and policy number are:
Policy Number
of Agent
;ertify that, in the performance
if I should become subieCt-W
I not employ any person in any manner so as to become su
3700 of the Labor Code, I shall forthwith comply with those
:LA TION RE G CONSTRUCTION LENDING�CY
reby a Urn un nalty of perjury that there is a cons ruction lending agency for the performance of the work for which this permit
s Na Lender's Address
ny signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and co ncesstata laws relating to building construction.
I authorize representatives of this city' o unty to ant ve- led pr party for inspection purposes.
�f n,....r nr A. ri7arl Anpnr Print Prooertv Owner's or Authorized
ACTION //I DATE
AQMQRULE7603.
t SUBMtTTEDASBESTOS NOTIFfCATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS N017RCA1I0NIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE.,
Date
to the workers' compensation laws of California, and
C�,7
(Section 3097, Civil Code).
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